Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Anthony Lane, PA

Individual provider Physician Assistant · NPI 1720312168

John Anthony Lane, PA is a Physician Assistant in Fayetteville, North Carolina. Graduated from Univ of Nebraska Medical Center, Col of Dentistry in 2009, 17 years ago. Practices with Integrated Pain Solutions PLLC, a 24-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Trained at
Univ of Nebraska Medical Center, Col of Dentistry
Licensed in
NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2149 Valleygate Dr Ste 201
Fayetteville, NC 28304-3668
Phone: (910) 728-4410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08114 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1720312168
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 1, 2009
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
Graduated 2009 (17 years in practice)
Group practice Integrated Pain Solutions Pllc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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